Individual
BETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
588 PAWTUCKET AVE, PAWTUCKET, RI 02860-6057
(401) 722-2400
Mailing address
588 PAWTUCKET AVE, PAWTUCKET, RI 02860-6057
(401) 722-2400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00675
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780672709
GROUP NPI#
—
Enumeration date
08/12/2006
Last updated
02/13/2008
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